| Regents Of The University Of California At Berkeley | |
| 230 Minor Hall, Berkeley, CA 94720-0001 | |
| (510) 642-0945 | |
| Not Available | 
| Full Name | Regents Of The University Of California At Berkeley | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 230 Minor Hall, Berkeley, California | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306908058 | NPI | - | NPPES | 
| GSD000370 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary | 
| Provider Name | Kathryn A Johnson | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1578630141 PECOS PAC ID: 8820980022 Enrollment ID: I20040324001844 | 
| Provider Name | Lily H Kim | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1780655464 PECOS PAC ID: 3779571013 Enrollment ID: I20040512001249 | 
| Provider Name | Marianne Pia Hoenig | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1467575993 PECOS PAC ID: 9739195249 Enrollment ID: I20060221000539 | 
| Provider Name | Nancy A Mcnamara | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1295767176 PECOS PAC ID: 4082617824 Enrollment ID: I20060816000151 | 
| Provider Name | Jeffery A Calmere | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1043287840 PECOS PAC ID: 6002907961 Enrollment ID: I20070807000293 | 
| Provider Name | Isabel Kazemi | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1972572980 PECOS PAC ID: 4688766520 Enrollment ID: I20070822001469 | 
| Provider Name | Ava J Wu | 
|---|---|
| Provider Type | Practitioner - Oral Surgery | 
| Provider Identifiers | NPI Number: 1629162110 PECOS PAC ID: 2163500570 Enrollment ID: I20080425000415 | 
| Provider Name | Tan Ngoc Truong | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1487707071 PECOS PAC ID: 9830260272 Enrollment ID: I20080612000550 | 
| Provider Name | Shirin Barez | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1659338952 PECOS PAC ID: 0941368161 Enrollment ID: I20081016000458 | 
| Provider Name | Lillian Wang | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1902012362 PECOS PAC ID: 5991864704 Enrollment ID: I20081110000102 | 
| Provider Name | Anne Moy | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1184788713 PECOS PAC ID: 0840352043 Enrollment ID: I20081223000126 | 
| Provider Name | Christina Wilmer | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1073677613 PECOS PAC ID: 9133282874 Enrollment ID: I20090107000282 | 
| Provider Name | Meredith M Whiteside | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1437205085 PECOS PAC ID: 4981767647 Enrollment ID: I20090107000443 | 
| Provider Name | Carl Jacobsen | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1003941766 PECOS PAC ID: 8426112301 Enrollment ID: I20090122000232 | 
| Provider Name | Glen Y Ozawa | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1922046994 PECOS PAC ID: 7315095684 Enrollment ID: I20090427000288 | 
| Provider Name | Stephen R Chun | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1942366133 PECOS PAC ID: 5890846760 Enrollment ID: I20090706000683 | 
| Provider Name | Mira Lim | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1194987628 PECOS PAC ID: 6406923036 Enrollment ID: I20090727000151 | 
| Provider Name | Marlena Chu | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1255597266 PECOS PAC ID: 2062553886 Enrollment ID: I20091230000492 | 
| Provider Name | Jeffrey Krohn | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1609871961 PECOS PAC ID: 4688720402 Enrollment ID: I20101203000258 | 
| Provider Name | Nancy L Carteron | 
|---|---|
| Provider Type | Practitioner - Rheumatology | 
| Provider Identifiers | NPI Number: 1669582458 PECOS PAC ID: 6305033465 Enrollment ID: I20101215000455 | 
| Provider Name | Dennis Fong | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1629103247 PECOS PAC ID: 7012197197 Enrollment ID: I20110207000491 | 
| Provider Name | Kathy T Tran | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1346355401 PECOS PAC ID: 3274621941 Enrollment ID: I20110401000800 | 
| Provider Name | Harry Miguel Green | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1013172477 PECOS PAC ID: 5597949560 Enrollment ID: I20110415000433 | 
| Provider Name | Debora Lee | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1750543922 PECOS PAC ID: 1456416536 Enrollment ID: I20110420000371 | 
| Provider Name | Walter A Wong | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1689647414 PECOS PAC ID: 4688844608 Enrollment ID: I20110831000297 | 
| Provider Name | Linh Le | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1427330885 PECOS PAC ID: 6305019803 Enrollment ID: I20111028000177 | 
| Provider Name | Pam Satjawatcharaphong | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1700167061 PECOS PAC ID: 6204009152 Enrollment ID: I20111109000508 | 
| Provider Name | Kuniyoshi Kanai | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1528252384 PECOS PAC ID: 2860669843 Enrollment ID: I20120202000388 | 
| Provider Name | Cheyenne Chinea Gengler | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1679861272 PECOS PAC ID: 7618139023 Enrollment ID: I20120501000696 | 
| Provider Name | Melanie Mason | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1891082913 PECOS PAC ID: 0840452264 Enrollment ID: I20120501000743 | 
| Provider Name | Yu-tai Wu | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1568725562 PECOS PAC ID: 2567604184 Enrollment ID: I20130812000389 | 
| Provider Name | Charlie Van Ngo | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1417202474 PECOS PAC ID: 4880850684 Enrollment ID: I20131226001515 | 
| Provider Name | Jeremy Shumaker | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1730389347 PECOS PAC ID: 7517196207 Enrollment ID: I20140128001845 | 
| Provider Name | Anne Tasaki | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1043640741 PECOS PAC ID: 1557590205 Enrollment ID: I20140129001710 | 
| Provider Name | Meng Lin | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1396180600 PECOS PAC ID: 0244469401 Enrollment ID: I20140210001505 | 
| Provider Name | Kerri Yoshiyama | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1457466674 PECOS PAC ID: 0547281628 Enrollment ID: I20140808000693 | 
| Provider Name | Melissa A Valdellon | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1326328790 PECOS PAC ID: 3072785203 Enrollment ID: I20151013001882 | 
| Provider Name | Patrick J Clark | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1285699553 PECOS PAC ID: 8527360460 Enrollment ID: I20160525001648 | 
| Provider Name | Angela V Shahbazian | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1891147161 PECOS PAC ID: 4284929506 Enrollment ID: I20160825002695 | 
| Provider Name | Alfred Fu Vong | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1528441086 PECOS PAC ID: 0547558454 Enrollment ID: I20161010000800 | 
| Provider Name | Sarah Arneal | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1699143248 PECOS PAC ID: 5496034357 Enrollment ID: I20161116002081 | 
| Provider Name | Karen Eula Molina | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1770006751 PECOS PAC ID: 6800169046 Enrollment ID: I20170908002821 | 
| Provider Name | Celia R Gong | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1619498656 PECOS PAC ID: 5193098341 Enrollment ID: I20170908003231 | 
| Provider Name | Emily Gorski | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1720509219 PECOS PAC ID: 4880945492 Enrollment ID: I20180920002505 | 
| Provider Name | Tran N Bianconi | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1760995765 PECOS PAC ID: 5395089916 Enrollment ID: I20181207000712 | 
| Provider Name | Yiyi Wang | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1194379917 PECOS PAC ID: 5698102861 Enrollment ID: I20200227002455 | 
| Provider Name | Quan Dao | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1669096384 PECOS PAC ID: 1254742596 Enrollment ID: I20201118000673 | 
| Provider Name | Liandra Jung | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1386252849 PECOS PAC ID: 1153732375 Enrollment ID: I20201119001335 | 
| Provider Name | Jennifer Fisher | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1083029946 PECOS PAC ID: 4587882857 Enrollment ID: I20210111002309 | 
| Provider Name | Nicole Mercho | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1306464680 PECOS PAC ID: 4880093236 Enrollment ID: I20210604001415 | 
| Provider Name | Sam Lee | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1922779404 PECOS PAC ID: 0143618934 Enrollment ID: I20211027003257 | 
| Provider Name | Adrienne Coulter | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1447923073 PECOS PAC ID: 5890183594 Enrollment ID: I20211029001571 | 
| Provider Name | Michael Wong | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1326719907 PECOS PAC ID: 6608265467 Enrollment ID: I20211116002705 | 
| Provider Name | Sze Kei Yeung | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1376206177 PECOS PAC ID: 5294125613 Enrollment ID: I20211129001564 | 
| Provider Name | Mareena Roufail | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1457963910 PECOS PAC ID: 2567882764 Enrollment ID: I20220727001279 | 
| Provider Name | Maryam Nassiri Tousi | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1871258210 PECOS PAC ID: 9638554736 Enrollment ID: I20220909000923 | 
| Provider Name | Jeffrey Joseph Kong | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1730750985 PECOS PAC ID: 0749682615 Enrollment ID: I20220914001785 | 
| Provider Name | Kayle Rae Edwards | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1194443440 PECOS PAC ID: 7810365962 Enrollment ID: I20221121001285 | 
| Provider Name | Sophia Lam | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1386363711 PECOS PAC ID: 5991173510 Enrollment ID: I20221201001223 | 
| Provider Name | Madison Sachs | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1245959592 PECOS PAC ID: 5092184663 Enrollment ID: I20221205001052 | 
| Provider Name | Saya Hayashi | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1487378329 PECOS PAC ID: 8224407275 Enrollment ID: I20221213003008 | 
| Provider Name | Shayda Hossein Mardi | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1740904739 PECOS PAC ID: 3375912009 Enrollment ID: I20221219002647 | 
| Provider Name | Olivia Ryan Burger | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1780305953 PECOS PAC ID: 4183093834 Enrollment ID: I20221220000630 | 
| Provider Name | Brian Douglas Steinmann | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1598485948 PECOS PAC ID: 8527438076 Enrollment ID: I20221228001728 | 
| Provider Name | Yasmin Faridun Javed | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1750078481 PECOS PAC ID: 4385002518 Enrollment ID: I20230621001402 | 
| Provider Name | Kellie Miyeko Melton | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1427733229 PECOS PAC ID: 2961863964 Enrollment ID: I20230807000865 | 
| Provider Name | Betty Zhu Li | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1497432801 PECOS PAC ID: 4486017977 Enrollment ID: I20230831000753 | 
| Provider Name | Ramie Ramneet Sahota | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1407534456 PECOS PAC ID: 7113380528 Enrollment ID: I20230901001782 | 
| Provider Name | Samuel Alexander Mainieri | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1841975943 PECOS PAC ID: 6608239934 Enrollment ID: I20230901003168 | 
| Provider Name | Molly Dixon King | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1750745105 PECOS PAC ID: 5092084202 Enrollment ID: I20230920002228 | 
| Provider Name | Yung Fen Chen | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1215626056 PECOS PAC ID: 8729432984 Enrollment ID: I20230922000257 | 
| Provider Name | Cade Oost | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1770260200 PECOS PAC ID: 9133573249 Enrollment ID: I20230922003095 | 
| Provider Name | Jeffrey Kamo | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1104503432 PECOS PAC ID: 1254786429 Enrollment ID: I20231006002867 | 
| Provider Name | Ruth Yetunde Shoge | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1508876137 PECOS PAC ID: 5395745343 Enrollment ID: I20240312001178 | 
| Provider Name | Cristen Adams | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1013369511 PECOS PAC ID: 8224477542 Enrollment ID: I20240419001402 | 
| Provider Name | Yau Han Eva Chung | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1275373417 PECOS PAC ID: 3476090978 Enrollment ID: I20240801002765 | 
| Provider Name | Julie Yu Zhu Ling | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1902646144 PECOS PAC ID: 4486192333 Enrollment ID: I20240809003938 | 
| Provider Name | Graham Chung | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1386329183 PECOS PAC ID: 9335597673 Enrollment ID: I20240812002461 | 
| Provider Name | Tuong-vy Vivian Nguyen | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1144063645 PECOS PAC ID: 1850839317 Enrollment ID: I20240814004528 | 
| Provider Name | Valery Medina | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1144924804 PECOS PAC ID: 6002279569 Enrollment ID: I20240828002850 | 
| Provider Name | Laura Belle Morel | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1518700277 PECOS PAC ID: 8325570021 Enrollment ID: I20241018003637 | 
| Provider Name | Vanessa Morales | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1518786524 PECOS PAC ID: 6406389386 Enrollment ID: I20241128000110 | 
| Provider Name | Chloe Jing Xian Yeung | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1962248187 PECOS PAC ID: 7911435581 Enrollment ID: I20250109002509 | 
| Provider Name | Shengyu He | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1497586531 PECOS PAC ID: 2567985773 Enrollment ID: I20250328001161 | 
| Provider Name | Crystal Wen | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1972025302 PECOS PAC ID: 6406127794 Enrollment ID: I20250521002580 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Regents Of The University Of California At Berkeley 200 Minor Hall, Berkeley, CA 94720-0001 Ph: (510) 642-0945 | Regents Of The University Of California At Berkeley 230 Minor Hall, Berkeley, CA 94720-0001 Ph: (510) 642-0945 | 
| Dr. Carl H. Jacobsen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hall, Uc Berkeley, Berkeley, CA 94720 Phone: 510-643-9826 Fax: 510-642-4025 | |
| Nancy Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: University Of California School Of Optometry, 230 Minor Hall, Berkeley, CA 94720 Phone: 510-642-0945 | |
| Annie Chang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1931 Dwight Way, Apt 20, Berkeley, CA 94704 Phone: 310-619-1266 | |
| Dr. John Corzine, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Minor Hall, University Of California, Berkeley, CA 94720 Phone: 510-643-2793 Fax: 510-643-5109 | |
| Dr. Ghazal Naseri, OD Optometrist Medicare: Medicare Enrolled Practice Location: 230 Minor Hall, Berkeley, CA 94720 Phone: 510-642-2020 | |
| Anne Tasaki, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hl, Berkeley, CA 94720 Phone: 510-642-2020 | |
| Daphne Chan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hl, University Of California, Berkeley, Berkeley, CA 94720 Phone: 510-642-0945 |